2027 ICD-10-CM Diagnosis Code F91.9Conduct disorder, unspecified

ICD-10-CM Codes›F01–F99›F90-F98›F91

ICD-10-CM F91.9
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F91.9 is a billable ICD-10-CM diagnosis code for conduct disorder, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 886. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Disruptive, impulse-control and conduct disorders.

F91.9 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 for payment year 2027.

Code Identity

ICD-10-CM Code
F91.9
Billable Status
Yes — Valid for Submission
Code Describes
Conduct disorder, unspecified
Short Description
Conduct disorder, unspecified
Same as the full description in the CMS dataset.
Parent Code
Conduct disorders

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF90-F98Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
CategoryF91Conduct disorders
This CodeF91.9Conduct disorder, unspecified

Medicare Risk Adjustment (HCC)Billing

F91.9 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 133 — Anxiety and Other Psychiatric Disorders
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal behavior
  • Behavior problem of childhood and adolescence
  • Behavioral disability
  • Clark Baraitser syndrome
  • Conduct disorder
  • Conduct disorder in remission
  • Disruptive behavior
  • Disruptive behavior disorder
  • Intellectual disability, macrocephaly, hypotonia, behavioral abnormalities syndrome
  • Micrognathia, recurrent infections, behavioral abnormalities, mild intellectual disability syndrome
  • Mixed behavior and emotional disorder
  • Problem behavior
  • Problem behavior in adult
  • Ran away
  • Self destructive behavior
  • WAC-related facial dysmorphism, developmental delay, behavioral abnormalities syndrome
  • X-linked epilepsy with learning disability and behavior disorder syndrome

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F91.9: its own notes plus those printed at F91, block F90-F98, and Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Behavioral disorder NOS
  • Conduct disorder NOS
  • Disruptive behavior disorder NOS
  • Disruptive disorder NOS

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From F91 Conduct disorders applies to 6 codes
  • antisocial behavior (Z72.81-)
  • antisocial personality disorder (F60.2)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From F91 Conduct disorders applies to 6 codes
  • conduct problems associated with attention-deficit hyperactivity disorder (F90.-)
  • mood [affective] disorders (F30-F39)
  • pervasive developmental disorders (F84.-)
  • schizophrenia (F20.-)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Notes

General instructions on how these codes are used.

From Block F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence applies to 33 codes
  • Codes within categories F90-F98 may be used regardless of the age of a patient. These disorders generally have onset within the childhood or adolescent years, but may continue throughout life or not be diagnosed until adulthood

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F91.9, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming F91.9: they are not reported together with it, unless the two conditions are unrelated.

  • F60.2 Antisocial personality disorder
    conduct disorders (F91.-) names F91.-, which includes this code
  • Z72.81 Antisocial behavior
    conduct disorders (F91.-) names F91.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming F91.9: its condition is not part of those codes, and both may be reported when the patient has both.

  • F63.1 Pyromania
    conduct disorders (F91.-) names F91.-, which includes this code

Notes 1

These notes mention F91.9.

  • Block F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
    Codes within categories F90-F98 may be used regardless of the age of a patient. These disorders generally have onset within the childhood or adolescent years, but may continue throughout life or not be diagnosed until adulthood names F90-F98, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD008
Disruptive, impulse-control and conduct disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Conduct Disorder

    a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated. these behaviors include aggressive conduct that causes or threatens physical harm to other people or animals, nonaggressive conduct that causes property loss or damage, deceitfulness or theft, and serious violations of rules. the onset is before age 18. (from dsm-iv, 1994)

Patient EducationClinical

Child Behavior Disorders

All kids misbehave some times. And some may have temporary behavior problems due to stress. For example, the birth of a sibling, a divorce, or a death in the family may cause a child to act out. Behavior disorders are more serious. They involve a pattern of hostile, aggressive, or disruptive behaviors for more than 6 months.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F91.9 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
312.9 Conduct disturbance NOS
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F91.9Overview

What is the ICD-10 code for conduct disorder, unspecified?

The ICD-10-CM code for conduct disorder, unspecified is F91.9 (sometimes written as F919). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F91.9 (Conduct disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report conduct disorder, unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F91.9 group to?

When conduct disorder, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 886 (behavioral and Developmental Disorders), which carries a relative weight of 1.6455. Higher weights mean higher Medicare reimbursement.

Can F91.9 be reported with a code from Z72.81?

Not as a rule. The Excludes1 note at F91, which applies to F91.9, lists "antisocial behavior (Z72.81-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of F91.9?

Under the General Equivalence Mappings, conduct disorder, unspecified converts to ICD-9-CM 312.9 (conduct disturbance NOS). The mapping is a direct match.

Does F91.9 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: F91.9 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 (Anxiety and Other Psychiatric Disorders).